----- Original Message ----- 
From: "laurie wheeler" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, October 18, 2009 8:39 PM
Subject: hydrocodone for pain


> Hi Sharon,
> Congratulations! Re your client with severe back pain. A couple things I
> would consider. First, why was her pain managed with massage and chiro
> during pg but not anymore? I think she should explore what might be
> different (carrying the baby? positioning? stress? different sleep
> arrangements?) that could be causing her pain to come back. Next, my
> understanding would be that any narcotic type drug could make the baby
> sleepy and of course affect mother's ability to care for the baby. There 
> are
> several NSAIDS but perhaps mother could explore non-systemic or non-drug
> therapies like nerve blocks, electrical stimulating units, pain patches? 
> All
> of which I am not knowlegeable about but there are sub-specialties in
> medicine in which the doctor specializes in pain control/pain relief.
> Hope she feels better soon,
> Laurie Wheeler RN MN IBCLC
> Mississippi USA
>
>             ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: 
> set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet 
> welcome 

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome